What is the definitive treatment of an Anal Fistula?-Dr. Prakash Mahadevappa скачать в хорошем качестве

What is the definitive treatment of an Anal Fistula?-Dr. Prakash Mahadevappa

The definitive treatment of anal fistula is ofcourse surgery. The surgery depends upon proper evaluation, of the hernia, which entails a transrectal ultrasound examination to delineate the fistula tract and then they proceed with the surgery. Having said that many at times the fistulas assessment is still incomplete and is only possible only after examination of the patient and probing the fistulous tract under anaesthesia. These tracts maybe very low lying wherein they are called as low fistulas or the fistulas may open high up in the anus and these are called as high fistulas. Fistulas are basically an abnormal communication between the anus or the rectum internally and to the skin outside. The surgery maybe a simple surgery or complex surgery depending upon the type of the fistula we present with. It may entail laying open the tract completely from the internal opening to the external opening and allowing it to heal or it may entail exploration of the tracts either placing a set on of treatment and stage the procedure by means of tightening the set on every 4 weeks or later on re-examine the patient under anaesthesia or re-examining the patient under anesthesia to replace the set on as the case may be. There are a few recent sophisticated treatments recently like the lift or even video assisted anal fistula treatment is also coming, there are a few experts on that field, but most commonly the conventional method of treating the fistula would be surgery and surgery will entail opening the tracts and allowing them to heal from deep inside.